ROSE CITY MEDICAL CLINIC LLC (NPI# 1386242790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386242790 |
| Entity Type | Organization |
| Organization Name | ROSE CITY MEDICAL CLINIC LLC |
| Practice Address |
11397 Se Cascade View Ct Clackamas OR 97086-9753 |
| Practice Telephone | 5037801107 |
| Practice Fax Number | 7252159707 |
| Mailing Telephone | 5037801107 |
| Mailing Fax Number | 7252159707 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | DR. RUI YANG (OWNER) |
| Authorized Official Telephone | 5027801107 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ROSE CITY MEDICAL CLINIC LLC | 11397 Se Cascade View Ct, Happy Valley, OR 97086 |
| Street Address |
11397 SE CASCADE VIEW CT |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97086-9753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447428925 | Cheryl B. Hickethier, PC | Family Medicine | 14831 Se 82nd Dr, Clackamas, OR 97015-7624 | 2008-02-18 |
| 1801973664 | Karen Ann Kuryla | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2006-11-01 |
| 1851404230 | David Bruce Mitchell | Family Medicine | 13636 Se Taralon Dr, Clackamas, OR 97015 | 2006-08-17 |
| 1700840675 | Thomas H Hickerson | Family Medicine | 14450 Se Royer Rd, Clackamas, OR 97015-8730 | 2006-04-17 |
| 1194789453 | Larry L Moffett | Family Medicine | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 | 2006-04-13 |
| 1356324842 | Barry N. Davis | Family Medicine | 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 | 2005-11-29 |
| 1578559951 | Raymond S Lee | Family Medicine | 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | 2005-09-21 |
| 1841647559 | Ewen J Harrison | Family Medicine | 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 | 2016-05-23 |
| 1750777066 | Kevin Do | Family Medicine | 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | 2015-04-13 |
| 1174956049 | Benjamin Daniel Houser | Family Medicine | 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 | 2013-08-15 |
| Find all providers in CLACKAMAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.